Communication strategies to encourage child participation in an oral health promotion session: An exemplar video observational study

Yuan, S., Humphris, G., Macpherson, L. , Ross, A. and Freeman, R. (2021) Communication strategies to encourage child participation in an oral health promotion session: An exemplar video observational study. Health Expectations, 24(2), pp. 700-708. (doi: 10.1111/hex.13219) (PMID:33606905) (PMCID:PMC8077076)

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Background: The oral health promotion sessions for young children and parents in a clinical setting pose challenges to the dental team. Aim: To apply PaeD‐TrICS (Paediatric dental triadic interaction coding scheme) to investigate the interaction of child, parent and dental nurse and determine the effect of nurse and parental behaviours on child participation within an oral health promotion session. Method: A video observational study was applied. The sample consisted of a dental nurse and 22 children aged 2‐5 years in a general dental practice in Scotland. Behaviours were catalogued with time stamps using PaeD‐TrICS. Analysis of behavioural sequences with child participation as the dependent variable was conducted using multilevel modelling. Results: Children varied significantly in their participation rate. The statistical model explained 28% of the variance. The older the child and longer consultations significantly increased child participation. Both nurse and parental behaviour had immediate influence on child participation. Parental facilitation had a strong moderating effect on the influence of the nurse on child participation. Conclusions: Child participation was dependent on nurse and parent encouragement signalling an important triadic communication process. The coding scheme and analysis illustrates an important tool to investigate these advisory sessions designed for delivering tailored messages to young children and parents. Patient or Public Contribution: The dental staff, child patients and their parents were involved closely in the conduct and procedures of the present study.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Macpherson, Professor Lorna and Ross, Dr Alastair
Authors: Yuan, S., Humphris, G., Macpherson, L., Ross, A., and Freeman, R.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Journal Name:Health Expectations
ISSN (Online):1369-7625
Published Online:19 February 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in Health Expectations 24(2): 700-708
Publisher Policy:Reproduced under a Creative Commons license

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
135209Evaluation of West of Scotland Child Oral Health Pilot ProgrammeLorna MacphersonOffice of the Chief Scientific Adviser (CSO)N/AMed - Dental School